Workbook for Fordney’s Medical Insurance and Billing, 18th Edition

• Self-study exercises reinforce your understanding with matching, true/false, multiple-choice, mix and match, and fill-in-the-blank questions, as well as critical thinking assignments. • Key terms and abbreviations at the beginning of each chapter provide a quick reference to the health insurance terminology you need to know. • Study outlines focus your review by listing the key points for each chapter. • Performance objectives make learning easier by highlighting what you need to accomplish in each chapter. • Critical Thinking assignments are based on short, real-world vignettes, preparing you to work in a real medical office and allowing you to apply theory learned from the textbook. • Tests - this section at the end of the workbook provides various practice tests related to procedurse and claims forms • The Introduction to Health Care Facilities and Ambulatory Surgery Centers chapter provides the foundation and skills needed for billing in this outpatient setting.

UNIT 1: Career Roles and Responsibilities 1. Role of an Insurance Billing Specialist 2. Privacy, Security and HIPAA 3. Compliance, Fraud and Abuse UNIT 2: Introduction to Heath Insurance 4. Basics of Health Insurance 5. The Blue Plans, Private Insurance and Managed Care Plans 6. Medicare 7. Medicaid 8. TRICARE and Veteran’s Health Care 9. Workers’ Compensation 10. Disability Income Insurance and Disability Benefit Program UNIT 3: Documentation and Coding for Professional Services 11. Medical Documentation and the Electronic Health Record 12. Diagnostic Coding 13. Procedural Coding 14. HCPCS Coding NEW! UNIT 4: Claims Submission in the Medical Office 15. The Paper Claim CMS-1500 16. The Electronic Claim UNIT 5: Revenue Cycle Management 17. Receiving Payments and Insurance Problem Solving 18. Collection Strategies UNIT 6: Health Care Facility Billing 19. Introduction to Health Care Facilities and Ambulatory Surgery Centers 20. Billing for Health Care Facilities UNIT 7: Employment 21. Seeking a Job and Attaining Professional Advancement Tests Appendices

Cheryl Fassett